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Eating a vegetarian or vegan diet

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With a slight deficiency, a therapy with oral supplements is completely sufficient

[6] [3] [10] A mild deficiency may not cause any discernible symptoms, but moderate deficiency can cause various symptoms, such as feeling tired, lightheadedness, headaches, cold intolerance, pale skin, sore tongue, upset stomach, loss of appetite, hair and skin color changes, numbness or tingling (pins and needles) of the fingers and toes, and tinnitus, and vision, cognitive or psychological problems

B12 is important for many things in your body, including brain health, mood, and how your body uses energy